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Arthritis

Question
Posted by: Mrs C Robins | 2018/01/12

Q.

Constant gout attacks

I originally got gout five years ago following multiple drugs to control pain due to a hip operation. The gout came on three years after the operation. Seven months ago it return with a vengeance over my entire foot. Since then I have had constant attacks and can not get it out of my system. I have changed my diet dramatically, no meat,purine rich Fish or shell fish, no purine vegetable. I drink 10pints of fluid a day,water,coffee, diet soda. No alcohol. I have vitamin c supplements every morning and a black cherry yoghurt for breakfast I have had ibrofen, Extorib, colchicine, and steroids both oral and injected in to my toe. All with the same result. Once the course is finished, back comes the gout. I am at my wits end now and can not stand anymore pain. All the doctor and the specialist I have seen privately say Allopurinol once the pain has subsided. The pain however does not go completely. I would be grateful for any help you could give me Mrs C Robins

Expert's Reply

A.

Arthritis expert
- 2018/02/27

It seems that you will have to start allopurinol even while you are havimg some pain and continue the colvhicine three times daily. Once the allopurinol reduces the uric acid level, your gout will improve.

You may also want to stay on prednisone 5 mg daily during this time.

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

1
user comments

C.

Posted by: Clint | 2018/01/14

I had a similar instance where I had gout in my foot for over 4 months. My GP eventually sent me to a rhumertologist who put me on puricos. I’m currently taking 700mg a day and the reoccurrence of gout attacks has dropped to almost zero. Every now and then I can feel a gout attack coming on and I take a colchicine tablet three times a day and in most instances it goes away before it becomes a problem. Puricos is the only meds that work to break down the uric acid that causes gout. Talk to your GP about prescribing it with regular uric acid test to see if it decreases to work put what dosage is correct for you. Good luck. I hope it works for you.

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